Abstract
Hepatocellular carcinoma (HCC) is one of the most severe cancer types and many genetic and environmental factors contribute to the development of HCC. Androgen receptor (AR) signaling is increasingly recognized as one of the important factors associated with HCC. Previously, we have developed an inducible HCC model in kras transgenic zebrafish. In the present study, to investigate the role of AR in liver tumor development, we specifically knocked out ar gene in the liver of zebrafish via the CRISPR/Cas9 system and the knockout zebrafish was named L-ARKO for liver-specific ar knockout. We observed that liver-specific knockout of ar attenuated liver tumor development in kras transgenic zebrafish at the early stage (one week of tumor induction). However, at the late stage (two weeks of tumor induction), essentially all kras transgenic fish continue to develop HCC irrespective of the absence or presence of ar gene, indicating an overwhelming role of the driver oncogene kras over ar knockout. Consistently, cell proliferation was reduced at the early stage, but not the late stage, of liver tumor induction in the kras/L-ARKO fish, indicating that the attenuant effect of ar knockout was at least in part via cell proliferation. Furthermore, androgen treatment showed acceleration of HCC progression in kras fish but not in kras/L-ARKO fish, further indicating the abolishment of ar signalling. Therefore, we have established a tissue-specific ar knockout zebrafish and it should be a valuable tool to investigate AR signalling in the liver in future.
Subject terms: Genetic engineering, Cancer models, Cancer genetics
Introduction
Hepatocellular carcinoma (HCC) is the most common type of malignant liver cancer and causes millions of deaths annually. Several risk factors have been identified to associate with HCC, such as alcohol, hepatic toxins and hepatitis virus1. HCC is also a sex-biased disease as men are more prone to develop HCC than women2. The typical ratio of HCC between men and women is about 2:1 to 3:13. In previous animal experiments, androgen has been documented to be an important factor to cause the higher incidence of HCC in males. After exposure to androgens, mice have increased incidence of liver tumor4. Castration or use of anti-androgen protects male rodents from liver tumor development5 while female rodents receiving testosterone have an increased susceptibility to hepatocarcinogenesis6. Moreover, clinical practice also suggests that application of androgens is associated with an increased risk of developing liver neoplasm including HCC7,8. For example, in male Fanconi’s anemia and aplastic anemia patients, substitute androgen intakes raised the susceptibility to develop liver neoplasm such as adenoma or HCC9. All these studies have suggested that androgen should be a target to study the gender disparity of HCC.
Androgens exert their effects through the activation of ARs, which are present in normal liver tissue and in HCC10. In addition, the expression and activation of ARs are also significantly increased in the liver tissue of rodent model during chemical-induced liver carcinogenesis11. AR has also been linked to HBV-induced hepatocarcinogenesis12. Large cohort studies have also indicated an existing synergistic effect between male gender and HBV on HCC progression13. Intriguingly, a study using hepatocyte-specific AR knockout mice has resulted in later and less HCC developed compared with their wildtype littermates in both HBV- and carcinogen-induced HCC14. In HCC cell lines, hepatic AR enhances RNA transcription of HBV via direct binding to the androgen response element on HBV genome15. Overexpression of functional AR in human HCC cells also resulted in the promotion of cell growth14. Thus, AR has played an important role in HCC, but AR-dependent sex disparity in HCC has not been well studied.
In zebrafish, there is only a single functional ar gene in the zebrafish genome16. ar mRNA is presented as maternal RNA from oocytes and starts to increase from 50% epiboly stage, suggesting its important role in late embryonic and early larval development16. In both male and female zebrafish, ar is widely expressed in various tissues including the brain, eyes, skin, kidney, gall bladder, gills, testis, ovary, gut, heart, muscle, spleen and liver17,18. Similar to the mammalian system, the most active ligand for zebrafish AR is also 11-ketotestosterone (KT11), which has similar potency to testosterone as an androgen19. To investigate the role of ar in HCC development, in the present study, we successfully developed a liver-specific ar knockout zebrafish by liver-specific expression of Cas9 nuclease using the CRISPR system20. By combination with our previously established zebrafish HCC model which has inducible expression of oncogenic kras21, we found that ar may help promote HCC progression at an early stage, but not at a late stage, in our kras-induced HCC model in zebrafish.
Result
Generation and characterization of liver-specific ar knockout (L-ARKO) transgenic zebrafish
In our previously published hepatocyte transcriptomic data derived from WT and kras transgenic zebrafish22, we found that ar transcripts were presented at a moderately abundant levels (1–7 transcripts per million transcript) in all samples including 6 dpf larvae and male and female adult fish (Supplementary Fig. S1A). To confirm the ar expression in these hepatocytes, RT-PCR was carried out and indeed that ar RNAs were detected in all of these hepatocyte RNA samples (Supplementary Fig. S1B).
With the ar expression in zebrafish hepatocytes ascertained, liver (hepatocyte)-specific knockout of ar in zebrafish was designed as illustrated in Fig. 1A,B. The DNA construct shown in Fig. 1B was injected into WT zebrafish embryos and F0 transgenic fish were screened for GFP expression in the heart at 3–5 dpf. 21.4% of F0 (112 out of 523) fish showed GFP positive phenotype (Fig. 1C). To obtain stable transgenic line with germline transmission, GFP + F0 fish were crossed with WT zebrafish and their offspring were screened for GFP expression in the heart. 7 out of 50 GFP + F0 fish had germline transmission. F1 larvae with GFP expression were collected as positive F1 fish and raised to adult (Fig. 1C). One of the F1 L-ARKO zebrafish was used to generate F2 L-ARKO zebrafish for genomic characterization. This F1 L-ARKO zebrafish was also crossed with kras zebrafish for the liver tumor study. Now the ARKO zebrafish have been maintained for five generations and there was no observable difference compared to wildtype zebrafish in development, growth, morphology and reproduction.
To validate the cas9 expression in the liver, in situ hybridization was performed on 4-dpf F1 L-ARKO fish. The probe for ceruloplasmin23 was used as a positive control. As shown in Fig. 2A, ceruloplasmin mRNA was specifically expressed in the liver. Similarly cas9 expression, as assessed by a cas9 antisense probe, was also specifically expressed in the liver region (Fig. 2B). In comparison, no hybridization signal was detected either in the L-ARKO larvae by a cas9 sense probe (Fig. 2C) or in WT larvae by the cas9 antisense probe (Fig. 2D).
To further characterize ar knockout in L-ARKO zebrafish, F2 adult L-ARKO fish were raised. First, the cas9 DNA was detected by PCR in all tissues examined (Fig. 2E). Secondly, T7E1 mutagenesis assay of the liver from F2 L-ARKO fish showed that the mutated DNA band was present only in the liver sample (Fig. 2F). Finally, DNA sequencing of the gRNA targeted region indicated that around 36% of the alleles mutated and in total four types of mutation were identified and all of them caused reading frame shift (Fig. 2G) and introduced premature termination codons (data not shown). Thus, liver-specific knockout of ar was achieved in L-ARKO zebrafish.
Expression of androgen-responsive genes in F2 adult L-ARKO zebrafish livers was compared with that in WT siblings to further ascertain the effects of ar knockout. cyp24a1, hsd11b2, sult2st3 and foxa1 genes were selected as androgen-responsive genes because the expressions of these genes are regulated by androgen agonist and antagonist treatments24–27. Indeed KT11 treatment upregulated cyp24a1, hsd11b2 and sult2st3 and downregulated foxa1 in the liver of male WT zebrafish (Fig. 3A). In contrast, cyp24a1, hsd11b2 and sult2st3 were significantly downregulated, and foxa1 gene was upregulated in F2 male L-ARKO zebrafish liver (Fig. 3B). Moreover, after KT11 treatment, the inducibility of the three up-regulated genes and the suppression of the down-regulated foxa1 were largely abolished in the liver of F2 male L-ARKO fish (Fig. 3C). These results confirmed that the androgen signal was inhibited in L-ARKO fish liver.
Effects of liver-specific ar knockout on liver tumor progression in kras zebrafish
To study the effects of liver-specific ar knockout in adult kras zebrafish on liver tumor progression, the kras/L-ARKO zebrafish were raised into adult. Male adult kras, kras/L-ARKO, L-ARKO and WT fish were treated with Dox for two weeks. As shown in Fig. 4A, after 1 week of Dox treatment (1 wpi, week post-induction), kras had significantly more deaths than that in kras/L-ARKO fish, but by 2 wpi, the deaths in kras and kras/L-ARKO zebrafish showed no significant difference.
At 1 wpi, there were no significant change of liver phenotype in WT and LARKO fish and normal liver histology with typical two-hepatocyte plate was observed. In contrast, majority of male kras zebrafish at 1 wpi showed neoplastic transformation in the liver including hyperplasia, hepatocellular adenoma (HCA) and HCC (Fig. 4B), consistent with our previous reports28,29. Examples of hepatic hyperplasia, HCA and HCC are shown in Supplementary Fig. S2, as classified based on established histopathological criteria30–33. Normal livers in zebrafish showed typical 2-cell hepatic plate structure (arrays of arrows), uniformed cell shape and size, and distinct cell boundary. Hyperplasia maintains hepatic plate arrangement but shows increased prominent nuclei (arrowheads). HCA shows unclear hepatic plates but still have clear cell boundary and relatively uniformed cell shape. HCC is characterized by the loss of cell boundaries and hepatic plate structure, as well as increase of mitotic cells and appearance of multiple nucleoli (yellow arrows).
As quantified in Fig. 4D, 62.5% of kras fish has HCC phenotype and the percentage was reduced to 30% in kras/L-ARKO fish. However, at 2 wpi, essentially all the kras and kras/L-ARKO fish had HCC phenotype while the WT and L-ARKO control fish remained normal liver morphology and histology (Fig. 4C,E). These observations suggested that the liver-specific ar knockout deterred liver tumor progression only at the early stage of tumorigenesis and the ar knockout effect was eventually overcome by the prevailing expression of oncogenic kras.
To examine cell proliferation in the liver, PCNA staining was carried out for all four groups of fish at 1 wpi and 2 wpi (Fig. 5A). In WT and L-ARKO fish, there was low background cell proliferation. However, in both kras and kras/L-ARKO fish, there were significant increases of cell proliferation. Interestingly, consistent with the histological observation, at 1 wpi, compared to kras fish, there was a reduced cell proliferation in L-ARKO fish (Fig. 5B), but the reduction of cell proliferation was not observed at 2 wpi (Fig. 5C). Thus, these observation further confirmed that the alleviative effect of liver-specific knockout of ar gene occurred only at the early stage of liver tumorigenesis.
Previously in a mouse Ar knockout study, it has been suggested that Ar promotes HCC via suppression of Tp53-mediated DNA damage and apoptosis, as well as increased cellular oxidative stress and DNA damage. We also examined cell apoptosis and the levels of Tp53 in the liver tumors from kras and kras/L-ARKO fish, Indeed there was an increase of cell apoptosis and in kras/L-ARKO fish compared to kras fish (Supplementary Fig. S3). These observations suggested that liver-specific knockout of ar attenuated liver tumor development in kras transgenic zebrafish involving Tp53 and cell apoptosis, in addition to cell proliferation. However, we did not find significant difference in liver tumors from kras and kras/L-ARKO fish based on staining of 8-hydroxy-2-deoxyguanosine (for cellular oxidative stress) and 4-hydroxy-2-noneal (for lipid peroxidation), two well established markers for oxidative stress34 (data not shown).
Ineffectiveness of KT11 treatment on liver tumor progression in L-ARKO zebrafish
To further investigate the effects of liver-specific ar knockout on liver tumor progression, KT11 was used to treat kras and kras/L-ARKO zebrafish. At 1 wpi, HCC incidence increased after KT11 treatment in the kras zebrafish compared with the kras zebrafish with Dox alone. About 60% of the kras zebrafish developed HCC after KT11 treatment, while the ratio was 40% in the kras zebrafish with Dox alone (Fig. 6A,B). However, KT11 treatment did not increase the incidence of HCC in the kras/L-ARKO zebrafish in comparison with the kras/L-ARKO zebrafish treated with Dox alone, and the incidence of HCC in adult kras/L-ARKO zebrafish was lower than that in adult kras fish with or without KT11 treatment (Fig. 6A,B). These observations indicated that the KT11 treatment accelerated the liver tumor progression in the kras zebrafish, but had no effects on kras/L-ARKO zebrafish, suggesting the liver-specific ar knockout blocked the effects of KT11 during liver tumor progression.
In addition, cell proliferation in kras zebrafish increased significantly after KT11 treatment compared with that in the kras fish following Dox treatment (Fig. 6A,C), suggesting that KT11 promoted the cell proliferation during liver tumor progression. In kras/L-ARKO zebrafish, cell proliferation was lower than those in kras fish with or without KT11 treatment (Fig. 6A,C) and, after KT11 treatment, cell proliferation was not significantly increased (Fig. 6A,C). These observations suggested that the effect of KT11 was attenuated by liver-specific ar knockout in male kras zebrafish, thus further confirming the effect of ar knockout.
Discussion
In the present study, the CRISPR/Cas9 system was used to generate the liver-specific ar knockout transgenic zebrafish using a liver (hepatocyte)-specific fabp10a promoter to drive cas9 expression. In situ hybridization confirmed the liver-specific expression of cas9 (Fig. 2B). Based on genomic characterization of F2 L-ARKO fish, 36% of ar alleles had frameshift mutations based on DNA sequencing of the whole liver DNA. Since the fabp10a promoter is only active in hepatocytes, the primary liver cells constituting about 70% of total number of liver cells35. Thus, the successful gene knockout in hepatocytes should be around 51% of total alleles. The mutagenesis rate was favourably comparable with the previous study using CRISPR/Cas9 system on zebrafish urod gene, in which 43% of mutated alleles was reported in FACS-sorted erythrocytes36. Thus, the liver-specific ar knockout transgenic zebrafish was successfully established using the tissue-specific CRISPR/Cas9 system and it can be used in future studies of the androgen signalling in the liver in zebrafish.
AR has been reported to play an important role in HCC progression in human and AR expression increases in the tumor tissue of HCC patients37. This has also been confirmed in rodents where the expression of AR is greatly increased in the liver during chemical-induced liver carcinogenesis38. In previous studies, AR has been demonstrated to promote hepatocarcinogenesis in HCC cell lines and some rodent models11,14. Previously, we also found that androgen could significantly accelerate liver tumor progression in the kras transgenic zebrafish model39. All of these works indicate the important role of androgen signalling and AR in heaptocarcinogenesis in both human and animal models.
In this study, to further investigate the contribution of Ar in liver tumorigenesis and provide a valuable experimental tool, we generated a liver-specific ar knockout transgenic zebrafish line, L-ARKO. by crossing L-ARKO fish with kras fish, we found that tumor progression in the kras/L-ARKO zebrafish was attenuated at the early stage (1 wpi). However, the effect of liver-specific ar knockout was overwhelmed by sustaining expression of the kras driver oncogene by 2 wpi, where essentially all kras fish developed HCC phenotype irrespective of the absence of ar gene; thus, Ar may play an important role in liver tumorigenesis only in the early stage. Consistently, cell proliferation was decreased in L-ARKO zebrafish during HCC progression at 1 wpi but not at 2 wpi, indicating that the decrease of cell proliferation might contribute to the inhibitory effect of liver-specific ar knockout.
Previously, a liver-specific Ar knockout mouse has also been established by a Cre-loxP mediated approach14. Similarly, hepatic knockout of Ar in mice caused later and less HCC. By further mechanistic studies, it was found that the Ar knockout mice had increased cellular apoptosis and Tp53, consistent with our findings in this study. Furthermore, there was also a decrease of oxidative stress in Ar knockout mice, but this was not observed in our zebrafish study.
Previously we have shown that liver tumorigenesis could be accelerated by androgen treatment in kras zebrafish39. In the present study, androgen treatment in kras/L-ARKO zebrafish showed no significant effects on liver tumor progression; thus the loss of hepatic ar has largely blocked the effects of androgen on HCC progression. Moreover, liver cell proliferation in the kras/L-ARKO zebrafish after the co-treatment of androgen and Dox showed no significant change, in contrast to the dramatic stimulation of liver cell proliferation in the androgen/Dox co-treated kras zebrafish, further demonstrating that the liver-specific ar knockout blocked the effects of androgen treatment on cell proliferation during HCC progression.
In summary, by generation of hepatocyte-specific ar knockout transgenic zebrafish, we have clearly shown that ar contributes to liver tumor progression. The loss of hepatic ar attenuated liver tumor progression only at the early stage through reduction of cell proliferation. However, the attenuant effect was overwhelmed by the long-term overexpression of kras oncogene. To determine whether the attenuation of liver tumors at the early stage by ar knockout is only specific to kras-induced liver tumors, it will be interesting to investigate if ARKO could also suppress liver tumors induced by other oncogenes. Nevertheless, our current findings are consistent with current literature in clinical studies and other experimental models that AR plays a marked role in early stages of hepatocarcinogenesis40,41. Furthermore, in a similar Ar knockout mouse model, it was also observed that there was a delayed liver tumorigenesis induced by diethylnitrosamine, a chemical carcinogen14. These studies together imply that the attenuation of early liver tumor by the lack of AR is likely a broad, if not universal, phenomenon.
Methods
Zebrafish husbandry and chemical treatments
All experiments were carried out in accordance with the recommendations in the Guide for the Care and Use of Laboratory Animals of the National Institutes of Health and the protocol was approved by the Institutional Animal Care and Use Committee (IACUC) of the National University of Singapore (Protocol Number: 096/12). Liver-specific ar knockout (L-ARKO) transgenic zebrafish Tg(fabp10a::cas9; cmlc2::GFP) were generated in the present study (see the next section). krasV12 transgenic zebrafish Tg(fabp10:rtTA2s-M2; TRE2:EGFP-krasG12V), known as kras in the following text, were previously generated21. kras/L-ARKO double transgenic zebrafish were generated by crossing the L-ARKO and kras zebrafish. Treatments of adult zebrafish (4 months postfertilization) were conducted in 6-liter tanks and water with or without treatment chemicals was changed every other day. 20 mg/l doxycycline was employed to treat adult kras, kras/L-ARKO, L-ARKO and WT zebrafish siblings for 2 weeks. For hormone treatments, 5 μg/l 11-ketotestosterone (KT11) (Steraloids) was applied in conjunction with 20 mg/l doxycycline for one week.
Design and synthesis of guide RNA for zebrafish ar
Guide RNA sequences were designed using a web tool CHOPCHOP (https://chopchop.rc.fas.harvard.edu/). Six ar-specific gRNAs were designed and one of them was selected for its high rate of germline transmission. It targeted the first exon of ar gene after the initiation ATG codon (Fig. 1A). The sequences of the two oligonucleotides used for the guide RNA are: forward oligo, 5′-GAAGTGCGGCTGCCTACAGGGT; Reverse oligo, 5′-CCTGTAGGCAGCCGCACTTCGA. DNA constructs were cloned through multisite gateway reaction42 using MultiSite Gateway™ kit (Thermo Fisher Scientific). The destination vector pDestTol2CG2-U6:gRNA36, 5′ entry vector p5E-mcs and the middle entry vector pME-Cas9 for Gateway reaction were obtained from Addgene (https://www.addgene.org). The 3′ entry vector p3E-polyA (vector #302) was requested from Tol2kit (http://tol2kit.genetics.utah.edu/index.php/P3E-polyA). A 2.8 kb promoter of the fabp10a gene43 was first cloned into pGEM T vector and then subcloned into the p5E-mcs vector. The pDestTol2CG2-U6:gRNA vector was digested with BseRI enzyme and annealed ar-specific oligos were inserted into the BseRI-digested destination vector. The multisite Gateway cloning44 was performed with destination vector containing gRNA, the 5′ entry vector containing the fabp10a promoter, the middle entry vector containing zebrafish codon-optimized Cas9 sequence and the 3′ entry vector with stop poly A signal. The resulted construct is shown in Fig. 1B. In this final construct, the cas9 was controlled by the fabp10a promoter, and ar-specific gRNA was under the control of the ubiquitous U6 promoter. The GFP controlled by the heart-specific cmlc2 promoter serving as screen marker for positive transgenic fish.
Microinjections
WT zebrafish embryos were collected for microinjection. 20 pg of DNA constructs and 20 pg of Tol2 mRNA were injected into zebrafish embryos at one-cell stage. After microinjection, embryos were raised in 0.5 × Danieau’s solution (30×: 1.74 mM NaCl, 21 mM KCl, 12 mM MgSO4.7H2O, 18 mM Ca(NO3)2, 1.5 mM HEPES buffer) at 28 °C.
Whole-mount RNA in situ hybridization
cas9 fragment was amplified using primers GAATGGATAAGGACAGTTTCA and GCTTAGCGTTTGAGAAGCT, and cloned into pGEM T easy vector (Promega). The sense and anti-sense probes were synthesized by in vitro transcription using mMESSAGE mMACHINE T7 Kit (Thermo Fisher Scientific). In situ hybridization was performed following established protocols45.
T7E1 mutagenesis assay and DNA sequencing
T7E1 assay was performed following the published method46. Two primers were designed and synthesized based on the locations upstream and downstream of the gRNA target site: TTTTTCACGGACCTTACCAAAGC and TACTCTCGGTCTTTCCTTCCTG. For DNA sequencing, PCR products were cloned into pGEM T Easy vector (Promega) and sequenced using the ABIPRISM™ BigDye™ Terminator Cycle Sequencing Ready Reaction Kit (Perkin Elmer, USA).
RNA extraction and real-time quantitative PCR
RNA extraction was carried out using TRIzol® Reagent (Thermo Fisher Scientific). The RNA samples were then treated with DNase I (InvitrogenTM, #18068-015) to remove possible DNA contamination and cleaned RNA was reverse-transcribed into cDNA using Transcriptor First Strand cDNA Synthesis Kit (Roche). Primers for qPCR were designed using NCBI Primer-BLAST web tool. The real-time qPCR was carried out in LightCycler® 480 Real-Time PCR System (Roche). All primers used are listed in Supplementary Table S1.
FACS (fluorescence-activated cell sorting) isolation of hepatocytes
Zebrafish livers were freshly dissected and dissociated as previously described47. Through FACS by a cell sorter (BD Aria), hepatocytes were isolated based on DsRed expression from LiPan fish48. Over 10,000 cells were collected for DNA/RNA analysis. The purity of FACS isolated cells was above 90%.
Microscopy and image analysis
The gross appearance of the liver was examined and imaged under the bright field of Olympus MVX10 stereomicroscope and photographed with an Olympus DP72 digital camera with the Olympus cellSens dimension imaging software (Olympus).
Paraffin sectioning and histological analyses
Fish abdominal regions were dissected and fixed in formalin solution (Sigma-Aldrich), followed by dehydration and embedding into paraffin. 5 μm sections were made for hematoxylin and eosin staining. Stained slides were mounted in Micromount (Leica) and imaged using a light microscope (Zeiss, Axiovert 200 M). Classification of tumor types were based on established criteria as previously reported32,33. For PCNA (Proliferating cell nuclear antigen) staining, sections were incubated with rabbit anti-PCNA primary antibody at 1:500 dilution, followed by incubated with horseradish peroxidase (HRP)-conjugated secondary antibodies and color development using the DAKO Real Envision Detection System.
Statistical analyses
Statistical significance between two groups was evaluated by two-tailed unpaired Student t test (GraphPad). Statistical data were presented as mean value ± standard error of mean (SEM). P < 0.05 was chosen to be statistically significant.
Supplementary information
Acknowledgements
This work was supported by Ministry of Education, Singapore (Grant numbers: R154000A23112 and R154000A86114).
Author Contributions
H.L. and Z.G. conceived experiments. H.L., Y.L. and X.H. performed all experiments. H.L., Y.L., J.W.L. and Z.G. analyzed data. H.L. and Z.G. wrote the manuscript.
Competing Interests
The authors declare no competing interests.
Footnotes
Publisher’s note: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary information
Supplementary information accompanies this paper at 10.1038/s41598-019-46378-3.
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